<!doctype html>
<html class="no-js">
    <head>
        <meta charset="utf-8">
        <meta http-equiv="X-UA-Compatible" content="IE=edge">
        <meta name="description" content="">
        <meta name="keywords" content="">
        <meta name="viewport" content="width=device-width, initial-scale=1">
        <title>添加患者</title>

        <link rel="stylesheet" type="text/css" href="../css/mian.css" />
        <link rel="stylesheet" type="text/css" href="../css/addpatient.css" />

    </head>
    <body>
        <div class="header clearfix">
            <div class="nav">
                <ul>
                    <li>患者</li>
                    <li>咨询</li>
                </ul>
            </div>
            <div class="fast-search-box">
                <input class="fast-search" type="text" placeholder="快速搜索...">
            </div>
        </div>
        <div class="content">
            <div class="pantient-message-container">
                <h1 class="pantient-message">待生成患者信息</h1>
            </div>
            <div class="am-form mian-table create-patient-message">
                <div class="form-hd">
                    <ul class="patient-message-fill-list message-nav">
                        <li class="item active">患者资料</li>
                        <li class="item">家长资料</li>
                        <li class="item">临床信息</li>
                        <li class="item">患者封面照</li>
                        <li class="item">照片</li>
                        <li class="item">X光</li>
                        <li class="item">口扫数据</li>
                    </ul>
                </div>
                <div class="message-table-container">
                    <div class="message-table-tbody">
                        <form class="table-data patient-data" data-index="0">
                            <div class="am-form-group .patient-name">
                                <div class="item-hd">患者姓名</div>
                                <div class="item-box">
                                    <input type="text" name="Patient_name">
                                </div>
                            </div>
                            <div class="am-form-group am-form-select patient-sex">
                                <div class="item-hd">患者性别</div>
                                <div class="item-box">
                                    <select class="am-input-sm" name="Patient_sex">
                                        <option value="male">男</option>
                                        <option value="female">女</option>
                                    </select>
                                </div>
                            </div>
                            <div class="am-form-group">
                                <div class="item-hd">出生日期</div>
                                <div class="am-form-icon item-box">
                                    <i class="am-icon-calendar"></i>
                                    <input type="text" class="am-form-field" name="Patient_birthday"  placeholder="点击填写"  readonly />
                                </div>
                            </div>
                            <div class="am-form-group am-form-select">
                                <div class="item-hd">患者依从性预测</div>
                                <div class="item-box">
                                    <select class="am-input-sm" name="Patient_yc">
                                        <option value="良好">良好</option>
                                        <option value="优">优</option>
                                        <option value="差">差</option>
                                    </select>
                                </div>
                            </div>
                            <div class="am-form-inline am-form-select">
                                <div class="am-form-group">
                                    <div class="item-hd">身高增长块</div>
                                    <select class="am-input-sm" name="Patient_sgsd">
                                        <option value="快">快</option>
                                        <option value="一般">一般</option>
                                        <option value="慢">慢</option>
                                    </select>
                                </div>
                                <div class="am-form-group">
                                    <div class="item-hd" name="Patient_hx">胡须</div>
                                    <select class="am-input-sm">
                                        <option value="无">无</option>
                                        <option value="有">有</option>
                                    </select>
                                </div>
                                <div class="am-form-group">
                                    <div class="item-hd">喉结</div>
                                    <select class="am-input-sm" name="Patient_hj">
                                        <option value="无">无</option>
                                        <option value="有">有</option>
                                    </select>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
                <div class="form-foot clearfix">
                    <div class="ch">
                        <div class="next-step">下一步</div>
                    </div>
                </div>
            </div>
        </div>
        <script src="../js/message-handle.js" type="text/javascript" charset="utf-8"></script>
        <script type="text/javascript">
            new messageHandle()
        </script>
    </body>
</html>
